Description
Summary :
The Care Manager effectively communicates with internal and external clinical professionals. Efficiently organizes the care of the patients and assess the homes for needs and makes appropriate arrangements.
Critically thinks for appropriateness of care provided the patients within the scope of care of the healthcare center. Effectively multitasks the workday, accurately inputs computer info, and successfully accomplishes difficult tasks as assigned.
Responsibilities :
- Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability.
- Identify, evaluate and provide case management services for patients, and analyze information supplied by physicians (or other clinical staff) to make timely review determinations, based on appropriate criteria and standards.
- Coordinate certifications of services with the appropriate payor.
- Identify and refer over / under utilization issues and refer appropriate cases to VP Medical Affairs.
- Initiate timely and appropriate Discharge Planning.
- Collect and analyze data to assure quality outcomes.
- Serves as liaison for patient, family and physician to assist in communication.
- Reinforces and interacts with patients, physicians and families across the continuum to include post-acute services.
- Assures timely medical record documentation to coordinate appropriate clinical documentation for all services
Requirements : Experience
Experience
- Minimum of five years recent clinical experience as an RN. Negotiating skills which support the ability to interact with physicians, nursing staff, discharge planners, and payers.
- Excellent verbal and written communication skills
- Knowledge of clinical protocol, normative data and health benefit plans, particularly coverage and limitation clauses.
- Ability to manage several projects and cases simultaneously.
- Knowledge of community resources.
Education
Bachelor’s Degree in Nursing, preferred
Licenses, Registrations, or Certifications
Current Registered Nurse License
Work Type : Full Time
Full Time
EEO is the law - click below for more information :
https : / / www.eeoc.gov / sites / default / files / 2023-06 / 22-088 EEOC KnowYourRights6.12ScreenRdr.pdf
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.
RN, Registered Nurse - Acute Orthopedics - Full Time
Assess learning needs and provides education to patients, familymembers and/or care givers; identify issues and resources. Evaluates the care and treatment(s)provided to the patient and the patient response to the care andtreatment(s). Knowledgeof federal, state and local healthcare-related laws and...
RN, Registered Nurse Clinic Lead - Specialty Urology - Full Time
Provide administrative support duties to include assisting with department process improvement, back-up to manager, maintain supplies, coordinate schedules and meetings, and participate in training/in-services for clinical staff. Keeps manager informed of any issues with patients, staff or physician...
RN, Registered Nurse - ECC Emergency Care
Innovative equipment and procedures are utilized, including an Outpatient Imaging Center, orthopedic and surgical services, rehabilitation, a renovated birthing center, including 24/7 neonatal coverage, emergency care, wound care/hyperbaric center, 3D mammography, and comprehensive heart care, from ...
RN, Registered Nurse - IMC/W400 - Full Time
Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s). Knowledge of federal, state and local healthcare-related laws...
RN, Registered Nurse - Surgical ICU - Full Time
Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. DescriptionSummary:The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. P...
LVN, Licensed Vocational Nurse Clinic - Longview Resident Clinic - Full Time
Under supervision, the incumbent of this position provides professional nursing care to clinic patients. Works collaboratively with the providers within the team setting to facilitate quality care for the patient. Performs general nursing care to patients. Maintains timely flow of patients. ...
Lvn, Licensed Vocational Nurse Clinic - Specialty Urology - Full Time
May perform the following tasks in accordance with established procedures and as prescribed by applicable licensure/certification: Obtain/record vital signs; perform initial assessment on patient; coordinate patient transfer to hospital and/or discharge; give telephone orders; accept telephone test ...
Nurse Practitioner Acute Care Prn - Hospitalist (baytown)
LICENSES AND CERTIFICATIONS - REQUIRED RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within 60 days OR RN-Temp - Registered Nurse - Temporary State Licensure within 60 days AND APRN - Advanced Practice Registered Nurse - Texas Board of Nursing AND Magnet - ANCC Recogni...
RN, Registered Nurse - IMC Neuro/Stroke - Full Time
Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s). Knowledge of federal, state and local healthcare-related laws...
RN, Registered Nurse - Imc/W300b - Full Time
Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s). Knowledge of federal, state and local healthcare-related laws...